CPT 00400: Anesthesia for Integumentary Procedures on Extremities/Trunk/Perineum
Commercial payers pay $103 on average nationally for this procedure.
CPT code 00400 describes anesthesia services provided for procedures on the integumentary system of the extremities, anterior trunk, and perineum; the service is an anesthesia procedure typically delivered in an operating room, procedure suite, or other procedural setting to support cutaneous and subcutaneous surgical interventions.
For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.
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National Reimbursement Benchmarks
National commercial benchmarks for CPT 00400 cluster around BUCA’s average commercial rate of $103.40, with individual payer medians and means varying meaningfully around that midpoint. Blue Cross Blue Shield’s distribution is relatively compact, with an interquartile range (P75–P25) of $50.0 ($106.70–$56.90), and UnitedHealth Group is the tightest with an IQR of $26.8 ($81.30–$52.50). Cigna shows a wider spread (IQR $61.0, $139.00–$73.10), and Aetna exhibits the largest dispersion at $150.3 ($262.60–$112.30), indicating more variability at the upper end of allowed amounts.
Mean rates vary: Aetna’s mean is notably elevated at $198.70, Cigna’s mean is $105.00, BUCA’s average is $103.40, Blue Cross Blue Shield’s mean is $82.70, and UnitedHealth Group’s mean is $68.40. The contrast between Aetna’s higher central tendency and the tighter distributions of UnitedHealth Group and Blue Cross Blue Shield highlights payer-specific contracting dynamics and variability in allowed amounts for this code.